<!DOCTYPE html>
<html xmlns:wicket="http://wicket.apache.org">
<body>

	<wicket:panel>

		<div class="row">
		<div id="registration-panel" class="offset2 span8 well-white">
			
			<div class="row">
			<fieldset class="offset1 span6">
				<legend class="register-form-title">Únete a EnTurno</legend>
				
				<div class="row margin-bottom-medium">
					<div class="span6">
						<div wicket:id="local-feedback"></div>
					</div>
				</div>
				
				<form wicket:id="registration-form" class="form-horizontal">
		
					<div class="padding-small">
						<div class="control-group">
							<label class="control-label" for="selectTypoUsuario">Tipo de usuario *</label>
							<div class="controls">
								<select id="selectTypoUsuario" class="span3" disabled>
									<option>Cliente</option>
								</select>
							</div>
						</div>
					
						<div class="control-group">
							<label class="control-label" for="inputNombre">Nombre completo *</label>
							<div class="controls">
								<input wicket:id="nombre" class="span3" type="text" id="inputNombre" placeholder="Nombre completo">
							</div>
						</div>
						
						<div class="control-group">
							<label class="control-label" for="inputEmail">Correo electrónico *</label>
							<div class="controls">
								<input wicket:id="email" class="span3" type="text" id="inputEmail" placeholder="Correo electrónico">
							</div>
						</div>
						
						<div class="control-group">
							<label class="control-label" for="inputPassword">Contraseña *</label>
							<div class="controls">
								<input wicket:id="password" class="span3" type="password" id="inputPassword" placeholder="Contraseña">
							</div>
						</div>
						
						<div class="control-group">
							<label class="control-label" for="inputTelefono">Teléfono</label>
							<div class="controls">
								<input wicket:id="telefono" class="span3" type="text" id="inputTelefono" placeholder="Teléfono">
							</div>
						</div>
					</div>
					
					<div class="padding-small">
						<div class="form-actions">
							<input type="submit" class="btn btn-info" wicket:id="boton-registrar" value="Crear mi cuenta" />
							<input type="submit" class="btn" wicket:id="boton-limpiar" value="Limpiar" />
						</div>
					</div>
					
				</form>
			</fieldset>
			</div>
		</div>
		</div>

	</wicket:panel>

</body>
</html>
